Health Care Fraud

Through our Health Fraud Law practice group, we represent whistleblowers (known in the law as “qui tam relators”) in cases under the federal False Claims Act that involve health care fraud.

Under the False Claims Act, relators are permitted to file suit on behalf of the United States government if they learn of fraud against the government. Successful relators are rewarded with a percentage of the money that the government recovers as a result their lawsuit. The False Claims Act provides that relators are entitled to a reward of between 15% and 30% of the government’s recovery.

We are focused on cases of health care fraud that directly or indirectly involve federal government spending, purchasing or contracting. This type of fraud most often relates to Medicare, Medicaid, Tricare (the military health care provider), the Veterans Administration, the National Institutes of Health and related state health care programs.

We handle cases occurring at:

■hospitals,
■nursing homes,
■home health agencies,
■hospice agencies,
■pharmaceutical manufacturers,
■pharmaceutical distributors and suppliers,
■pharmacies,
■durable medical equipment companies,
■testing laboratories,
■ambulance services,
■chiropractic clinics,
■physical therapy clinics,
■medical schools,
■research labs,
■colleges and universities,
■physicians offices, and
■other health care companies and providers.

We believe that imagination, innovation and creativity in the provision of legal services are our greatest resources. We are distinguished from more conservative and traditional law firms by our use of novel and “cutting edge” techniques in the areas of communication, litigation, investigation and advocacy. We actively search for new and better ways to help our clients, rather than doing things one way just because that is the way it has always been done.

At a time when information availability is increasing and technology is rapidly advancing, it is not enough to only do things the old-fashioned way. One area where we are breaking new ground is in our development and assembly of proprietary databases on over 200,000 health care providers and health care professionals. By gathering information from public and private sources and using data-mining techniques to track and analyze the practices of health care providers, we are able to gain insight into potentially unlawful practices that otherwise would not be detected. We are also using and developing sophisticated techniques that employ new technologies to improve our ability to investigate, detect and prove fraud in the health care industry. We use information and technology in novel ways to help our clients.